My physician excised a simple pilonidal cyst but did a layered closure. The coding program I use states that 11770 (simple) includes single layer closure. The physician doesn't feel that he did enough work to code 11771 (extensive). Would you bill an intermediate repair code with the 11770? How about 11770-22? Or, since it was just an additional layer, not even bother with anything other than code 11770? Any opinions??